| NPI | 1023002987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301081326) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301081326) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-09-15 |